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New Member Application

Instructions '

Fill out the application below and click the NEXT button. This will allow you to confirm your information before you submit it. If an error is found, just use your browser back button to return to this page. We accept Master Card, Visa, Discover and American Express via PayPal's secure server.NOTE: No Credit Card information is stored on Marine Corps League-Westchester County Detachments Servers

Tells Us About Yourself

Name:

Street: Apt:

City: State: Zip:

Date of Birth (mm/dd/yyyy):

Phone Number (914 555-1212):

Email:

Tell Us about your Military Service

Date of Enlistment/Commissioning (mm/dd/yyyy):

Date of Discharge/Separation/Retirement (mm/dd/yyyy):

Sponsored By (optional)

Sponsor:

Membership Choice

Regular AssociateCheck Here if on Active Duty

I hereby renew my membership in the Marine Corps League - Westchester County Detachment and enclose for one year's Membership.*

I hereby apply for Life membership in the Marine Corps League - Westchester County Detachment and enclose the following Membership dues.*

Up to Age 35 -- $500.00

Age 36-50 -- $400.00

Age 51-64 --$300.00

Age 65 and Older -- $200.00

*All Memberships include a subscription to the "SEMPER FI", The Magazine of the Marine Corps League

Certification

By submitting this electronic application I hereby certify that I have served as a U.S. Marine for more than 90 days that the character of my service has been honorable, and if discharged, I am in receipt of an honorable discharge. By submitting this application, I hereby agree to provide proof of honorable discharge/service. Proof of military service can be sent to the Detachment mailing address: